Counseling With Moxie PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COUNSELING WITH MOXIE PLLC

Practice address

222 McDonald LN E
Cedar Creek, TX 78612-3161

Phone

(612) 601-0619

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jordan Kristyne Adams, DSW, LCSW-S, LCDC

Title

Counselor

Phone

(512) 601-0619

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1841901212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "CEDAR CREEK",
            "state": "TX",
            "postal_code": "786120528",
            "telephone_number": "512-601-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MCDONALD LN E",
            "city": "CEDAR CREEK",
            "state": "TX",
            "postal_code": "786123161",
            "telephone_number": "612-601-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING WITH MOXIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "KRISTYNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "512-601-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW-S, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cedar Creek, TX
• Providers in Cedar Creek, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.